| NPI | 1356901011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 103745) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125074698) |
| Enumeration Date | 2019-06-15 |
| Last Update Date | 2025-10-22 |